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Home My WebLink AboutPermit PG09-026 - MATEVOSOV RESIDENCEMATEVOSOV RESIDENCE 12091 44 PL S PGO9-026 Parcel No.: 3347401475 Address: Suite No: Tenant: Name: Address: 12091 44 PL S TUKW CityOf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us MATEVOSOV RESIDENCE 12091 44 PL S , TUKWILA WA PLUMBING /GAS PIPING PERMIT Owner: Name: MATEVOSOV ARAM Phone: Address: 12091 44TH PL S , TUKWILA WA Contact Person: Name: ARAM MATEVOSOV Phone: 206 - 794 -3532 Address: 12091 44 PL S , TUKWILA WA Contractor: Name: OWNER AFFIDAVIT - ARAM MATEVOSOV Phone: 206 - 794 -3532 Address: 12091 44 PL S , TUKWILA WA Contractor License No: Expiration Date: DESCRIPTION OF WORK: NEW PIPING FOR ADDITION, 1 SHOWER, 1 TOILET, 1 DISHWASHER, 1 KITCHEN SINK, 1 WATER HEATER, 1 CLOTHES WASHER 4 -15 -09 REVISION #1 TO ADD (4) OUTLETS TO EXISTING GAS PIPING SYSTEM. WER Value of Plumbing /Gas Piping: $2,500.00 Uniform Plumbing Code Edition: 2006 Fees Collected: $301.00 International Fuel Gas Code Edition: 2006 Plumbing Bathtub or combination bath/shower Bidet Clothes washer, domestic Dental unit, cuspidor Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor drain Shower, single head trap Lavatory Wash fountain Receptor, indirect waste Sinks Urinals Water Closet doc: UPC -7/07 FIXTURE TYPE AND QUANTITY Plumbing (cont.) 0 Building sewer and each trailer park sewer 0 0 Rain water system - per dram (inside bldg) 0 1 Water heater and /or vent 1 0 Industrial waste treatment interceptor, including 1 its trap and vent, except for kitchen type 0 grease interceptors 0 0 Repair or alteration of water piping and/or water 0 treatment equipment 0 1 Repair or alteration of drainage or vent piping 0 1 Medical gas piping system serving (1 -5) 0 inlets /outlets for a specific gas 1 0 Medical gas piping (6 +) inlets /outlets 1 1 Gas Piping 0 Gas piping outlets (0 -5) 4 1 Gas piping outlets (6 +) 0 * *continued on next page ** 0 Permit Number: Issue Date: Permit Expires On: PG09 -026 03/05/2009 09/16/2009 PG09 -026 Printed: 04 -15 -2009 Permit Center Authorized Signature: Signature: Print Name: doc: UPC -7/07 City of Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us rp 17 14A-levosov • Permit Number: PG09 -026 Issue Date: 03/05/2009 Permit Expires On: 09/16/2009 Date: 1 -1 -1S -01 I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of t • - does not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or t - • - ance of work. I am authorized to sign and obtain this plumbing /gas piping permit. Date: 09/(37o 9 This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PG09 -026 Printed: 04 -15 -2009 Parcel No.: 3347401475 Address: Suite No: 12091 44 PL S TUKW Tenant: Name: MATEVOSOV RESIDENCE Address: 12091 44 PL S , TUKWILA WA Owner: Name: MATEVOSOV ARAM Address: 12091 44TH PL S , TUKWILA WA Contact Person: Name: ARAM MATEVOSOV Address: 12091 44 PL S , TUKWILA WA Cityllf Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Contractor: Name: OWNER AFFIDAVIT - ARAM MATEVOSOV Address: 12091 44 PL S , TUKWILA WA Contractor License No: Value of Plumbing /Gas Piping: Fees Collected: doc: UPC -10/06 $2,000.00 $209.00 Plumbing Bathtub or combination bath/shower 0 Bidet 0 Clothes washer, domestic 1 Dental unit, cuspidor 0 Dishwasher, domestic, with independent drain 1 Drinking fountain or water cooler (per head) 0 Food -waste grinder, commercial 0 Floor drain 0 Shower, single head trap 1 Lavatory 1 Wash fountain Receptor, indirect waste 0 Sinks 1 Urinals 0 Water Closet 1 PLUMBING /GAS PIPING PERMIT DESCRIPTION OF WORK: NEW PIPING FOR ADDITION, 1 SHOWER, 1 TOILET, 1 DISHWASHER, 1 KITCHEN SINK, 1 WATER HEATER, 1 CLOTHES WASHER FIXTURE TYPE AND QUANTITY 0 Plumbing (cont.) * *continued on next page ** Permit Number: Issue Date: Permit Expires On: Expiration Date: Phone: Phone: 206 - 794 -3532 Phone: 206 - 794 -3532 PG09 -026 03/05/2009 09/01/2009 Uniform Plumbing Code Edition: 2006 International Fuel Gas Code Edition: 2006 Building sewer and each trailer park sewer 0 Rain water system - per drain (inside bldg) 0 Water heater and /or vent 1 Industrial waste treatment interceptor, including its trap and vent, except for kitchen type grease interceptors 0 Repair or alteration of water piping and/or water treatment equipment 0 Repair or alteration of drainage or vent piping 0 Medical gas piping system serving (1 -5) inlets /outlets for a specific gas 1 Medical gas piping (6 +) inlets /outlets 1 Gas Piping Gas piping outlets (0 -5) 0 Gas piping outlets (6 +) 0 PG09 -026 Printed: 03 -05 -2009 Permit Center Authorized Signature: doc: UPC -10/06 City otTukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us Permit Number: PGO9 -026 Issue Date: 03/05/2009 Permit Expires On: 09/01/2009 Date: S V I hereby certify that I have read and examined this permit and know the same to be true and correct. All provisions of law and ordinances governing this work will be complied with, whether specified herein or not. The granting of this pe • es not presume to give authority to violate or cancel the provisions of any other state or local laws regulating construction or the pe ti's • ce of work. I am authorized to sign and obtain this plumbing /gas piping permit. Signature: Print Name: g 4 1v-i PHA t7 F V 2 SO V Date: e3/as This permit shall become null and void if the work is not commenced within 180 days from the date of issuance, or if the work is suspended or abandoned for a period of 180 days from the last inspection. PG09 -026 Printed: 03 -05 -2009 Parcel No.: 3347401475 Address: Suite No: Tenant: doc: Cond -10/06 12091 44 PL S TUKW City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us MATEVOSOV RESIDENCE 1: ** *PLUMBING AND GAS PIPING * ** PERMIT CONDITIONS Permit Number: Status: Applied Date: Issue Date: 5: No portion of any plumbing system or gas piping shall be concealed until inspected and approved. * *continued on next page ** PG09 -026 ISSUED 03/05/2009 03/05/2009 2: No changes shall be made to applicable plans and specifications unless prior approval is obtained from the Tukwila Building Division. 3: All permits, inspection records and applicable plans shall be maintained at the job and available to the plumbing inspector. 4: All plumbing and gas piping systems shall be installed in compliance with the Uniform Plumbing Code and the Fuel Gas Code. 6: All plumbing and gas piping systems shall be tested and approved as required by the Plumbing Code and Fuel Gas Code. Tests shall be conducted in the presence of the Plumbing Inspector. It shall be the duty of the holder of the permit to make sure that the work will stand the test prescribed before giving notification that the work is ready for inspection. 7: No water, soil, or waste pipe shall be installed or permitted outside of a building or in an exterior wall unless, adequate provision is made to protect such pipe from freezing. All hot and cold water pipes installed outside the conditioned space shall be insulated to minimum R -3. 8: Plastic and copper piping running through framing members to within one (1) inch of the exposed framing shall be protected by steel nail plates not less than 18 guage. 9: Piping through concrete or masonry walls shall not be subject to any load from building construction. No plumbing piping shall be directly embedded in concrete or masonry. 10: All pipes penetrating floor /ceiling assemblies and fire - resistance rated walls or partitions shall be protected in accordance with the requirements of the building code. 11: Piping in the ground shall be laid on a firm bed for its entire length. Trenches shall be backfilled in thin layers to twelve inches above the top of the piping with clean earth, which shall not contain stones, boulders, cinderfill, frozen earth, or construction debris. 12: The issuance of a permit or approval of plans and specifications shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the Plumbing Code or Fuel Gas Code or any other ordinance of the jurisdiction. PG09 -026 Printed: 03 -05 -2009 I hereby certify that I have read these conditions and will comply with them as outlined. All provisions this work will be complied with, whether specified herein or not. The granting of this pe • oes not presume to give authority to violate or cancel the provision of any construction or the perf •• nce of work. Signature: Print Name: City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 - 431 -3665 Web site: http: / /www.ci.tukwila.wa.us 11 - RA1141 141 -re vmc Ov doc: Cond -10/06 PG09 -026 Date: d3 / D S / d of law and ordinances governing other work or local laws regulating Printed: 03 -05 -2009 CITY OF TUKWILA Community Development Department Permit Center 6300 Southcenter Blvd., Suite 100 Tukwila, WA 98188 http://www.ci.tukwila.wa.us PLUMBING / GAS PIPING PERMIT APPLICATION Applications and plans must be complete in order to be accepted for plan review. Applications will not be accepted through the mail or by fax. * *Please Print ** SITE LOCATION 4!..4 King Co Assessor's Tax No.: 339 1 / 1.O lut1 Floor;' — Jo2i! 7j LI 9 P/. $' 4(k•&.4 lit If Suite Number: Tenant Name: A Qf1-141 r -4ev D S 0V Site Address: Property Owners Name: li12C71M 111 f eVOSO V Mailing Address: SSG i 4 move, Name: A kg. /Y/p r5vO$O V Mailing Address: 51.4..L P4 12.49 Ve l Plumbing /Gas Permit No. P(001-- C94) Project No. City (For officc only) New Tenant: ❑ Yes c 1K17.No Stale Zip CONTACT PERSON - Who do we contact when your permit is ready to be issued Day Telephone: d O6. 7 44. 383 .2 [� D City State Zip E -Mail Address: / A N1. of TE V 0$ov p✓ QK?4t G. �l4i Fax Number: ' 596' $ 49 f f PLUMBING: / PIPING CONTRACTOR.INFORIgATIO Contact Person: E -Mail Address: Contractor Registration Number: Contact Person: E -Mail Address: Contact Person: E -Mail Address: H:\Applications\Fo.ms- Applications On Line\2009 Applications \1 -2009 - Plumbing -Gas Piping Permit Application doc Revised: 1 -2009 bh Company Name: Mailing Address: State City Day Telephone: Fax Number: Expiration Date: ARCHITECT OF RECORD - All plans must be wet stamped by Architect of Record Company Name: Mailing Address: City Day Telephone: Fax Number: State State Zip Zip Zip ENGINEER OF.RECORD - All plans must be wet stamped by Engineer of Record Company Name: Mailing Address: City Day Telephone: Fax Number: Page 1 of 2 Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Fixture Type: Qty Bathtub or combination . " bath/shower • Bidet Clothes washer, domestic / 1 Dental unit, cuspidor • Dishwasher, domestic, with independent drain Drinking fountain or water cooler (per head) Food -waste grinder, commercial Floor Drain Shower, single head trap ,( Lavatory / Wash fountain Receptor, indirect waste Sinks ti / Urinals Water Closet / 1 Building sewer and each trailer park sewer Rain water system — per drain (inside building) Water heater and /or vent Industrial waste treatment interceptor, including trap and vent, except for kitchen type grease interceptors Each grease trap (connected to not more than 4 fixtures - <750 gallon capacity) Grease interceptor for commercial kitchen ( >750 gallon capacity) Repair or alteration of water piping and /or water treatment equipment f 1- Repair or alteration of drainage or vent piping Medical gas piping system serving 1 -5 inlets /outlets for a specific gas Each additional medical gas inlets/outlets greater than 5 Backflow protective device other than atmospheric -type vacuum breakers 2 inch (51 mm) diameter or smaller Backflow protective device other than atmospheric -type vacuum breakers over 2 inch (51 mm) diameter Each lawn sprinkler system on any one meter including backflow protection devices Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections (1 -5) Atmospheric -type vacuum breakers not included in lawn sprinkler backflow protections over 5 Gas piping outlets Valuation of Project (contractor's bid price): $ of f 0O Scope of Work (please provide detailed information): C 1 �� / // � i S 'to�,�, ,�.- G� ;o l i Iel S; k d • sh -•„494 j..e�t / S: r+ Building Use (per Int't Building Code): Occupancy (per Int'I Building Code): Utility Purveyor: Water: Indicate type of plumbing fixtures and /or gas piping outlets being installed and the quantity below: PERMIT - APPLICATION NOTES - • Value of Construction — In all cases, a value of construction amount should be entered by the applicant. This figure will be reviewed and is subject to possible revision by the Permit Center to comply with current fee schedules. Expiration of Plan Review — Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may grant one extension of time for an additional period not to exceed 180 days. The extension shall be requested in writing and justifiable cause demonstrated. Section 103.4.3 International Plumbing Code (current edition). l HEREBY CERTIFY THAT 1 HAV ' D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE UNDER PENALTY OF PERJURY BY THE L 0 THE STATE OF WASHINGTON, AND I AM AUTHORIZED TO APPLY FOR THIS PERMIT. BUILDING OWNER OR AUTHO'tl D • 'f T: Signature: �/�/J Print Name: A v 14 P evO$ V Mailing Address: d 9 9 i `I L / i rl • 5�, Date Application Accepted: H:lApplications\Forms- Applications On Line12009 Applications\1-2009 - Plumbing -Om Piping Permit Application.doc Revised. 1 -2009 bh Staff Initials: Sewer: Date :o 3/0 s /0o Day Telephone: 0 39y' 35 a j u k w; /A 1A/4 g City State Zip Date Application Expires: Page 2 of 2 Parcel No.: 3347401475 Address: 12091 44 PL S TUKW Suite No: Applicant: MATEVOSOV RESIDENCE Receipt No.: Initials: User ID: Payee: doc: Receiot - 06 R09 -00574 WER 1655 TRANSACTION LIST: Type Method Payment Check Authorization No ACCOUNT ITEM LIST: Description GAS - RES SEDA MATEVOSOVA • City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us Descriptio Amount 283 92.00 Account Code RECEIPT 000.322.103.00.0 Permit Number: Status: Applied Date: Issue Date: Payment Amount: Payment Date: Balance: Current Pmts 92.00 Total: $92.00 0 $92.00 PG09 -026 ISSUED 03/05/2009 03/05/2009 04/15/2009 12:00 PM $0.00 PAYMENT RECEIVED Printed: 04 -15 -2009 City of Tukwila Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 - 431 -3670 Fax: 206 -431 -3665 Web site: http: / /www.ci.tukwila.wa.us RECEIPT 0906501-1 0204 07/06/2009 001 101 DCD Perm Plus - General Fund $354.60 Parcel No.: 3347401475 Permit Number: PG09 -026 Address: 12091 44 PL S TUKW Status: APPROVED Suite No: Applied Date: 03/05/2009 Applicant: MATEVOSOV RESIDENCE Issue Date: Receipt No.: R09 - 00360 Payment Amount: $209.00 Initials: WER Payment Date: 03/05/2009 09:28 AM User ID: 1655 Balance: $0.00 Payee: ARAM MATEVOSOV TRANSACTION LIST: Type Method Descriptio Amount Payment Check 1067 209.00 ACCOUNT ITEM LIST: Description PLUMBING - RES Account Code Current Pmts 000.322.103.00.0 209.00 Total: $209.00 k 0C2 doc: Receiot -06 Printed: 03 -05 -2009 PrAooj�ecttA:� I"wcjVU Re5 Type InspecYon: ! / r hA 01 I t4.A. •44 La • Ai Address: Date Called: Special Instructions: Date Wanted: ....A.m. 3 -1 -f0 p.m- Requester: Phone No: 2D C0 -'7Sir - .33‘3 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 PERMIT NO. p6 o5 (206)431 -3670 Approved per applicable codes. Corrections required prior to approval. COMMENTS: pfu &0 p 'Date: J ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: Project E� c2S iJ ( / r ( TYpe� : lpectipn: zJ Address: �, 1 z�1I 99 — Date Called: lc,. A- 6 k Special Instructions: Date Wanted: a. 2- 7 —/0 C Requester: Phone No: U.o-to ?SS - 33L 3 COMMENTS: & Al ( / 1 4J,- . L) f J-P P A4 r Cn A •.) I - U,T nl sc. •J JUL- e r d Inspect L Date: > r1 )9( P664 - oZ1 INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 INSPECTION RECORD Retain a copy with permit 0 Approved per applicable codes. Corrections required prior to approval. $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: Project: Type nspect'on: At Addre s: ! Address4 Date Called: Special Instructions: g 3 0 t3 -0 Date Wanted: 6 -s'., a p.m. Requester: Phone Na SS ?gib — '7 3 Y 3 INSPECTION RECORD p, 61_01 Retain a copy with permit INSPECTION NO. PERMIT NO. CITY OF TUKWILA BUILDING DIVISION 11-1 --- 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431- 3670 El Approved per applicable codes. ' orrections required prior to approval. COMMENTS: -07r) $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite ma. Call to schedule reinspection. Receipt No.: jDate: Project: C Type o Inspecti � ,� Address:, Date Called: Special Instructions: 1 Date Wanted: d? J . /f.„A_m„ p.m. Requester: Phone No: 4e7 INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #1 ct , Tukwita, WA 98188 PG og 76 PERMIT NO. P-- (206)431 -3 Approved per applicable codes. Q Corrections required prior to approval. COMMENTS: tJA 1 lnspect Date: / 3 0 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. COMMENTS: lam. Type of Inspection: fit v. / • �- ,` t` 6r r- - t U(i ( 4 L &t)f/ ?.r 4) iv f ,..I A�( P ,� e -- Un a' 5..� (_/ !• 1. v. it•o .k • 1 Special Instructions: / Date Wanted: _ 1 '1 , Q� a.mr pm Requester: Phone No: Project: AikAr>° v 0 /-)J lam. Type of Inspection: fit v. / • �- ,` t` A ` tp tog 1 44 pL S Date Called: • 1 Special Instructions: / Date Wanted: _ 1 '1 , Q� a.mr pm Requester: Phone No: (6 - o z INSPECTION RECORD Retain a copy with permit INSPECTI•N NO. PERMIT NO. I e 'R '/� CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)43 -3 70 Approved per applicable codes. Corrections required prior to approval. Ins pectof: " 4L.A. Date: D I ❑ $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: 1) SJ Or r or G, ✓C- 3 • Z S kk(I Se S✓ aria . n .... A MM A 7 A4 r'a M4 ,--ra,4 ^r 6( -2, :AA- f Jt c - • r l- 0 � T'�- P D'e fL p v r P f p • 0.4A)c : I J A {c . ) A e .S 4s- o 0 i. vc_fi -A ( 11-,of • 7 a �A ( . . . A Au r � i.y, eV:fr C.) ' JA . j <. 1( DvIS kV Se ptr * w e4 r , :1 1 7 . i- 1 s 1 e.�t =`/1 — ai. --Y .4A TV n yr Tv .ti-Q Siflo r e A ck 4' h hie ( 6 A r r( -, "fpei a p.m. 1 1 Pro ect: p J d j t/ / Le i T of Ins ection: y y o hi , on: .-2:4 ^r Address I 71 � Date Called: g - 17,-'1 Special Instructions: Date Wanted: .4 —/S J '� p.m. Requester: Phone No f INSPECTION NO. J Approved per applicable codes. Inspect: INSPECTION RECORD Retain a copy with permit PERMIT NO. fOL CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Corrections required prior to approval. \ Date: A - I S u r7 $60.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: _ . ... -. COMMENTS: Type l�c��ec ion: ) ,t /, L 1 Address: ,{ L. 3 4 (1 ' Date Called: 1 �} ti O— i k/(64-" D r,; J Ai.` • • :: '., ,� . Zit ryi 1 `3 c? ` r 1, • 1 • 7 NI;. LA,; S ✓' »fl, • . ___ rr '_{ /` L. (&0 J... ( -J ` 2 ' Al Af'( . i t. Pro t 74: 2 u Sol lZEi f. Type l�c��ec ion: ) ,t /, L 1 Address: ,{ L. 3 4 (1 ' Date Called: 1 Special Instructions: Date Wanted: Requester: / • • :: '., ,� . Ph: ryi 1 `3 c? ` CITY OF TUKWILA BUILDING DIVISION : Z 6300 Southcenter Blvd., #100, Tukwila, WA 98188 (206)431 -3670 Approved per applicable codes. INSPECTION RECORD Retain a copy with permit PGOq /02o n I � PERMIT NO. Corrections required prior to approval. Date: 0 —_c7 El $60.00 REINSPECTION FEE REQUIRED. Prior to' inspection, fee must be • paid at 6300 Southcenter Blvd., Suite 100. Call to schedule reinspection. Receipt No.: Date: COMMENTS: Type of spection: W, 7.I j] V s - inkf! x/A -d 1 1 da i , 9 Gr vie, Address: 1 I u t - b' Date Called: .A105 in , e 1?")," /0'f , V Special Instructions: 4,1/14 A77 /, 7 (a Aose ,4 Date Wanted: can.. t y Avigk...d ,/-0 Afx/ Ihone No: a-.0L ---) 4 - 3 7_ i /e .vp. / /144(/ ,9 •,,91 m .ate✓ / J /, 0/417v- ._5-4N444 4/).e.09 -, /7 /soh -k) A! deo, �. * Project: MAT vc ov Type of spection: W, 7.I Address: 1 I u t - b' Date Called: Special Instructions: . Date Wanted: can.. Requester: Ihone No: a-.0L ---) 4 - 3 7_ INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 98188 1 ' PGOq- PERMIT NO. (206)431 -3670 ❑ Approved pdapplicable codes. ,Corrections required prior to approval. Date:, 60.00 REINSPECTf FEE Fj QUIRED. Prior to inspection, fee must be paid at 6300 Southc nter B d., Suite 100. Call to schedule reinspection. Receipt No.: 'Date: • Aram Matevosov 12091 44 Place S Tukwila, WA 98178 RE: Request for Extensions Matevosov Addition —12091 44 PI S Dear Mr. Matevosov, This letter is in response to your written request for an extension to Permit Numbers D08 -338, EL09 -0168, M09 -028, and PG09 -026. The Building Official has reviewed your letter and considered your request to extend the above referenced permits. The determinations have been made as follows: D08 -338: The City of Tukwila Building Division will not be extending this permit due to the fact that an inspection occurred on September 9, 2009, which automatically pushed the expiration date out to March 8, 2010. EL09 -0168: The City of Tukwila Building Division will be extending this permit an additional 180 days, through June 17, 2010, per the Building Official. M09 -028: The City of Tukwila Building Division will be extending this permit an additional 180 days, through May 29, 2010, per the Building Official. jPG0.9"_- 026`BThe City of Tukwila Building Division will be extending this permit an additional 180 days, through May 31, 2010, per the Building Official. If you should have any questions, please contact our office at (206) 431 -3670. Sincerely, ovember 19, 2009 fer Marshall it Technician City of Tukwila ep.•, rtment of Community Developme i t Jack Pace, Director File: Permit No. D08 -338, EL09 -0168, M09 -028, PG09 -026 W:\Permit Center\Extension Letters\Permits\20081D08 -382 Permit Extension.doc Jim Haggerton, Mayor 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 P�f�� i,), Rambo, I would like to request permit extension as I am afraid we may not complete all the work by December, though I hope we will. Please extend deadlines for the following permits: -0/.3 EL09 -0168 PG09 -026 D08 -338 Thank you for your assistance! Respectfully, Aram Matevosov 12091 44 Place South Tukwila, WA 98178 206 - 768 -8569 O.11: rlv fetio EL IP6 II- IS-- &p; dic, II- K17,11 - /s "5)4 tcfrAI ARAM MATEVOSOV 12091 44 PL S TUKWILA WA 98178 RE: Permit No. PG09 -026 12091 44 PL S TUKW Dear Permit Holder: CityofTu Department of Community Development Jim Haggerton, Mayor Jack Pace, Director In reviewing our current records, the above noted permit has not received a final inspection by the City of Tukwila Building Division. Per the International Building Code, International Mechanical Code, Uniform Plumbing Code and/or the National Electric Code, every permit issued by the Building Division under the provisions of these codes shall expire by limitation and become null and void if the building or work authorized by such permit has not begun within 180 days from the issuance date of such permit, or if the building or work authorized by such permit is suspended or abandoned at any time after the work has begun for a period of 180 days. Your permit will expire on 12/02/2009. Based on the above, you are hereby advised to: 1) Call the City of Tukwila Inspection Request Line at 206 - 431 -2451 to schedule for the next or final inspection. Each inspection creates a new 180 day period. -or- 2) Submit a written request for permit extension to the Permit Center at least seven (7) days before it is due to expire. Address your extension request to the Building Official and state your reason(s) for the need to extend your permit. The Building Code does allow the Building Official to approve one extension of up to 180 days. If it is determined that your extension request is granted, you will be notified by mail. In the event you do not call for an inspection and/or receive an extension prior to 12/02/2009, your permit will become null and void and any further work on the project will require a new permit and associated fees. Thank you for your cooperation in this matter. Sincerely, Bill Rambo Permit Technician File: Permit File No. PG09 -026 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • Phone: 206 - 431 -3670 • Fax: 206 - 431 -3665 Date: " '7 // sM Contact Person: Summary of Revision: Entered in Permits Plus on • City of Tukwila \applications\forms- applications on line\revision submittal Created: 8 -13 -2004 Revised: Department of Community Development 6300 Southcenter Boulevard, Suite #100 Tukwila, Washington 98188 Phone: 206 -431 -3670 Fax: 206 - 431 -3665 Web site: http : / /www.ci.tukwila.wa.us Plan Check/Permit Number: 4 g 0 Revision submittals must be submitted in person at the Permit Center. Revisions will not be accepted through the mail, fax, etc. - W1Oq-oz �p ❑ Response to Incomplete Letter # ❑ Response to Correction Letter # ri Revision # after Permit is Issued ❑ Revision requested by a City Building Inspector or Plans Examiner Project Name: /44(9-/40V9 5 v S �/' Project Address: 7 0 O9 q - C IS I7 7 / q-e- �/ s9. J /l�r�c l�, �'t' t`1 i/A !/ln! /6(.119 D tJ Phone Number: (QM, ad f i o,. RECEIVED ctty OF TUKWIA APR 15 2009 PERMIT CENTER Sheet Number(s): "Cloud" or highlight all areas of revision including date of revisio Received at the City of Tukwila Permit Center by: STATE OF WASHINGTON) COUNTY OF KING CITY OF TUKTNILA Department of Community Development 6300 Southcenter Boulevard, Tukwila, WA 98188 Telephone: (206) 431 -3670 FAX (206) 431 -3665 E - mail: tukplan@ ci.tukwi]a.wa.us AFFIDAVIT IN ]LIEU OF CONTRACTOR REGISTRATION ss. n RPM 1414 I E VO.sO V , states as follows: [please print name] s o i 445 E +q Owner /Owner's Agent* AYArk *4 kVosoV Signed and sworn to before me this day of Permit Center /Building Division 206 431 -367o Public Works Department 206 433 -01 79 Planning Division 206 431 -3670 PERMIT NO: / P609 - 0a 1. I have made application for a permit from the City of Tukwila, Washington. 2. I understand that state law requires that all building construction contractors be registered with the State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the Revised Code of Washington, a copy of which is printed on the reverse side of this Affidavit. I have read or am familiar with RCW 18.27.090. 3. I understand that prior to issuance of a permit for work which is to be done by any contractor, the City of Tukwila must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to provide verification to the City of Tukwila of my compliance with this requirement, I hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I consider the work authorized under this permit to be exempt under number 12., and will therefore not be performed by a registered contractor. 5. I understand that the licensing provision of RCW 19.28.161 through 19.28.271 shall not apply to persons making electrical installations on their own property or to regularly employed employees working on the premises of their employer. The proposed electrical work is not for the construction of a new building for rent, sale or lease. I understand that I may be waiving certain rights that I might otherwise have under state law in any decision to engage an unregistered contractor to perform construction work. ,20q ,�'' Y PUBLIC in and for the State of Washington Residing at i //] G1 , County GI_ � b Name as commissioned: ( / �1 Ln i'farlei / e My commission expires: (i - 1 0 18.27.090 Exemptions. The registration provisions of this chapter do not apply to: 1. An authorized representative of the United States government, the state of Washington, or any incorporated city, town, county, township, irrigation district, reclamation district, or other municipal or political corporation or subdivision of this state; 2. Officers of a court when they are acting within the scope of their office; 3. Public utilities operating under the regulations of the utilities and transportation commission in construction, maintenance, or development work incidental to their own business; 4. Any construction, repair, or operation incidental to the discovering or producing of petroleum or gas, or the drilling, testing, abandoning, or other operation of any petroleum or gas well or any surface or underground mine or mineral deposit when performed by an owner or lessee; 5. The sale of any finished products, materials, or articles of merchandise that are not fabricated into and do not become a part of a structure under the common law of fixtures; 6. Any construction, alteration, improvement, or repair of personal property performed by the registered or legal owner, or by a mobile /manufactured home retail dealer or manufacturer licensed under chapter 46.70 RCW who shall warranty service and repairs under chapter 46.70 RCW; 7. Any construction, alteration, improvement, or repair carried on within the limits and boundaries of any site or reservation under the legal jurisdiction of the federal government; 8. Any person who only furnished materials, supplies, or equipment without fabricating them into, or consuming them in the performance of, the work of the contractor; 9. Any work or operation on one undertaking or project by one or more contracts, the aggregate contract price of which for labor and materials and all other items is less than five hundred dollars, such work or operations being considered as of a casual, minor, or inconsequential nature. The exemption prescribed in this subsection does not apply in any instance wherein the work or construction is only a part of a larger or major operation, whether undertaken by the same or a different contractor, or in which a division of the operation is made into contracts of amounts less than five hundred dollars for the purpose of evasion of this chapter or otherwise. The exemption prescribed in this subsection does not apply to a person who advertises or puts out any sign or card or other device which might indicate to the public that he or she is a contractor, or that he or she is qualified to engage in the business of contractor; 10. Any construction or operation incidental to the construction and repair of irrigation and drainage ditches of regularly constituted irrigation districts or reclamation districts; or to farming, dairying, agriculture, viticulture, horticulture, or stock or poultry raising; or to clearing or other work upon land in rural districts for fire prevention purposes; except when any of the above work is performed by a registered contractor; 11. An owner* who contracts for a project with a registered contractor, except that this exemption shall not deprive the owner of the protections of this chapter against registered and unregistered contractors. The exemption prescribed in this subsection does not apply to a person who performs the activities of a contractor for the purpose of leasing or selling improved property he or she has owned for Less than twelve months; 12.* Any person working on his or her own property, whether occupied by him or her or not, and any person working on his or her personal residence, whether owned by him or her or not but this exemption shall not apply to any person who performs the activities of a contractor on his or her own property for the purpose of selling, demolishing, or leasing the property; 13. An owner* who performs maintenance, repair, and alteration work in or upon his or her own properties, or who uses his or her own employees to do such work; 14. A licensed architect or civil or professional engineer acting solely in his or her professional capacity, an electrician certified under the laws of the state of Washington, or a plumber certified under the laws of the state of Washington or licensed by a political subdivision of the state of Washington while operating within the boundaries of such political subdivision. The exemption provided in this subsection is applicable only when the person certified is operating within the scope of his or her certification; 15. Any person who engages in the activities herein regulated as an employee of a registered contractor with wages as his or her sole compensation or as an employee with wages as his or her sole compensation; 16. Contractors on highway projects who have been prequalified as required by RCW 47.28.070, with the department of transportation to perform highway construction, reconstruction, or maintenance work; 17. A mobile /manufactured home dealer or manufacturer who subcontracts the installation, set -up, or repair work to actively registered contractors. This exemption only applies to the installation, set -up, or repair of the mobile /manufactured homes that were manufactured or sold by the mobile /manufactured home dealer or manufacturer; 18. An entity who holds a valid electrical contractor's license under chapter 19.28 RCW that employs a certified journeyman electrician, a certified residential specialty electrician, or an electrical trainee meeting the requirements of chapter 19.28 RCW to perform plumbing work that is incidentally, directly, and immediately appropriate to the like -in -kind replacement of a household appliance or other small household utilization equipment that requires limited electric power and limited waste and /or water connections. An electrical trainee must be supervised by a certified electrician while performing plumbing work. Per Washington State Department of Labor and Industries, lessee has been interpreted to be equivalent to owner for the purpose of these exemptions.